医院获得性肺炎及呼吸机相关性肺炎诊治指引解读.PDFVIP

Education and Debates Chin J Evid-based Med 2015, 15(7): 772-776 * 210002 h e Interpretation of Diagnosis and Treatment Guidelines of Hospital Acquired Pneumonia/Ventilator-associated Pneumonia Guideline LI Pei, SHI Yi* Department of Respiratory and Critical Care Medicine, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China Key words Hospital acquired pneumonia; Ventilator-associated pneumonia; Clinical practice guideline hospital acquired pneumonia HAPventilator associated pneumoniaVAP 9 9 10×10 /L5×10 /L2013 HAP VAP 38 36 48 h HAP/VAP VAP MV48 h HAP/ 48 h HAP VAP HAP 0.5% 1% ARDS HAP 6 20 ICU 25%[1-5]HAP HAP/VAP 1.3% 3.4%[6,7] HAP 30% 70% [8,9] HAP HAP/VAP HAP HAP/ [10-15] [16] 1999 HAP VAP 2013 VAP [17] HAP HAP [10-13] HAP/VAP clinical pulmonary infection scoreCPIS 1 HAP/VAP HAP/VAPCPIS HAP/VAP